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Want to apply for MEDICAID ?

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Apply online at www.commonhelp.virginia.gov or you can contact your local Department of Social Services for a paper copy of the application. The applicants will need to provide their name, address, social security number (SSN) or proof that the applicant applied for the SSN and their date of birth, legal presence in the US, disabled and/or blindness information.

 

Verifications Requirements may include the following:

 

1. Income:

Gross Earned Income:

Paystubs for the month prior to application or statement from employer.

Unearned Income:

This is the GROSS amount and any deductions of pensions, Social Security, current award letter, Direct Deposits advice, lifetime benefit award letter, monthly benefits statements, alimony, annuities (not pension related).

2. Resources: Bank Account information, Life insurance, burial information, property, vehicle and the amount owed.

3. Expenses: rent/mortgage; insurance premiums; current medical bills

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It takes about 45 days processing time.  Someone will reach out to with a checklist if anything else is needed.  If the applicant is MARRIED, included information for both.

Manage Care Organizations

Medicaid Long-Term Services and Supports (LTSS) Managed Care Organizations (MCOs) are health plans that coordinate and provide a range of services for individuals who need long-term care. Here’s a brief overview:

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  1. Structure: MCOs are contracted by Medicaid to manage and deliver healthcare services. 

  2. Services Provided: MCOs cover a wide array of services, including medical care, behavioral health services, nursing facility care, and home- and community-based services2.

  3. Network of Providers: MCOs have a network of doctors, hospitals, and other healthcare providers. Enrollees must use these network providers to receive covered services1.

  4. Comprehensive Care: The goal of MCOs is to provide comprehensive, coordinated care that meets the medical and non-medical needs of individuals, helping them maintain their independence and quality of life2.

  5. Eligibility and Enrollment: Individuals eligible for Medicaid LTSS can enroll in an MCO. The enrollment process typically involves an assessment to determine the level of care needed3.

  6. Cost Management: By managing care through a network and coordinating services, MCOs aim to control costs while ensuring that enrollees receive appropriate and timely care1.

  7. Support for Families: MCOs often provide support for family caregivers, including respite care and resources to help manage caregiving responsibilities2.

  8. Quality Assurance: MCOs are required to meet certain quality standards and are monitored to ensure they provide high-quality care to their enrollees2.

  9. Examples: In Virginia, the Cardinal Care Managed Care program includes several MCOs that provide LTSS to eligible individuals2.

 

If you have more specific questions about Medicaid LTSS MCOs or need further details, check out FAQ on the Virginia's Medicaid Program Cardinal Care website.

 

Learn more

1medicaidplanningassistance.org  2dmas.virginia.gov 

3dmas.virginia.gov  4dmas.virginia.gov

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